Essex Pediatrics & Associates PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MA03786800 Issued in NJ

Legal business name

ESSEX PEDIATRICS & ASSOCIATES PC

Practice address

654 Mount Prospect Ave
Newark, NJ 07104-3110

Phone

(973) 412-7700

Fax

(973) 412-7703

NPI assigned

Jun 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rene Bernard Esquerre, MD

Title

Medical Director

Phone

(973) 412-7700

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1609227248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090529",
            "telephone_number": "973-412-7700",
            "fax_number": "973-412-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-412-7700",
            "fax_number": "973-412-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PEDIATRICS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "ESQUERRE",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-412-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA03786800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essex Health Care Corp
• Essex Hudson Cardiology Associates, LLP
• Essex Ironbound Anesthesiologist, LLC
• Essex Kidney Group, LLC
• Essex Medical and Nephrology Associates, PA
• Essex Physicians Group, LLC
• Essex Plaza Medical Associates PA
• Essex Psychiatric Center for Children & Adults LLC
• Essex Valley Visiting Nurse Association
• Angela Essien

• Preferred Provider Organization in Newark, NJ
• Providers in Newark, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.